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531 Fred Lanier RdDavie County, NC Tax Parcel Report ��� Thursday, September 29, 2016 9 uv.�AAll data is provided as Is without warranty or guarantee of any kind either expressed or Implied Including but not limited to the Davie County, implied warranties of merchantability or fitness for a particular use. All users of Davie County's GIS website shalt hold harmless the County of Davie, North Carolina, Its agents, consultants, contractors or employees from any and all Claims or causes of action due to NC or arising out of the use or Inability to use the GIS data provided by this website. WARNING: THIS IS NOT A SURVEY Parcel Information Parcel Number: G20000005001 Township: Calahaln NCPIN Number: 5719195048 Municipality: Account Number: 44290000 Census Tract: 37059-801 Listed Owner 1: LANIER KENNETH A JR Voting Precinct: NORTH CALAHALN Mailing Address 1: 531 FRED LANIER ROAD Planning Jurisdiction: Davie County City: MOCKSVILLE Zoning Class: DAVIE COUNTY R-20 State: NC Zoning Overlay: Zip Code: 27028-0000 Voluntary Ag. District: No Legal Description: 2.21 AC FRED LANIER ROAD Fire Response District: CENTER Assessed Acreage: 2.07 Elementary School Zone: WILLIAM R DAVIE Deed Date: 1/1997 Middle School Zone: NORTH DAVIE Deed Book / Page: 001920292 Soil Types: MnC2 Plat Book: Flood Zone: Plat Page: Watershed Overlay: DAVIE COUNTY Building Value: 294220.00 Outbuilding & Extra Freatures Value: 30210.00 Land Value: 27520.00 Total Market Value: 351950.00 Total Assessed Value: 351950.00 9 uv.�AAll data is provided as Is without warranty or guarantee of any kind either expressed or Implied Including but not limited to the Davie County, implied warranties of merchantability or fitness for a particular use. All users of Davie County's GIS website shalt hold harmless the County of Davie, North Carolina, Its agents, consultants, contractors or employees from any and all Claims or causes of action due to NC or arising out of the use or Inability to use the GIS data provided by this website. Phone: (336) - 753 - 6780 Davie County Health Department Environmental Health Section P.O. Box 848 210 Hospital Street Courier # : 09-40-06 n Mocksville, NC 27028 ON-SITE WASTEWATER CERTIFICATION (Check One) Replacement Remodeling Reconnection Fax: (336) - 753-1680 Name: L6—V1b-&i(--1LPhone Number YAP 104 -DdU5� (Home) Mailing Address: 531 Ft2C=6 (OM -&n- (Work) OMr. ✓i /%e , YVC -7(J 28 Email Address: Detailed Directions To Property Address: 631 E( 1D'W0 -e2 Please Fill In The Following Infformation About The EXISTING Facility: Name System Installed Under: Ke ti/ t &11 eA - Type Of Facility: k �e Date System Installed (Month/Date/Year): 30A Number Of Bedrooms: Number Of People: Is The Facility Currently Vacant? Yes- No If Yes, For How Long? Any Known Problems? Yes If Yes, Explain: Please Fill In The Fol71,-Z Infoorrmation About The NEW Facility: Type Of Facility: ` 1,,qpJ,) Number Of Bedrooms:_0Number of People Pool Size: ` 6 x ZU Gar ge Size: Other: Requested By: Date Requested: (Signature) For Environmental Health Office Use Only Approved Disapproved omments: r XEnvironmental Health Specialist Date: *The signing of this form by the Environmental Health Staff is in no way intended, nor should be taken as a guarantee (extended or limited) that the on-site wastewater system will function properly for any given period of time. Payment: Cash Check Money Order # Amount:$ Date: Paid By: Received By: Account #: Invoice #: • R+ AUTHO (IZiTION NO ` 1 2 6 6 DAVIE COUNTY HEALTH DEPARTMENT - Environmental Health Section PROPERTY INFORMATION y� M Permi tee's P.O. Box 848 - Name:_�0�4 tri".►/' i/'"' Mocksville, NC 27028 Subdivision Name: property: .CaF ` - , Phone #: 704-634-8760 �,y _... T Directions to rr�.►2 Section:-! Lot: AUTHORIZATION FOR WASTEWATER SYSTEM CONSTRUCTION Tax Office PIN:#`5 r �` i Road Name **NOTE** This Authorization for Wastewater System Construction MUST BE ISSUED by the Davie County Environmental Health Section prior to issuance of any Building Permits. This Form/Authorization Number should be presented to the Davie County Building Inspections Office when applying for Building Permits. (In compliance with Article 11 of G.S. Chapter 130A, Wastewater Systems, Section .1900 Sewage Treatment and Disposal Systems) ***NOTICE*** THIS AUTHORIZATION FOR WASTEWATER CONSTRUCTION IS VALID FOR A PERIOD OF FIVE YEARS. ENVIRONMENTA�HEALITH SPECIALIST PATE ISSUED , 3 �:.,, _�; mow,.,_-} �..... i',' . ", ,.3. (e' '- , }-,• - - �p� .` 712 6 6 DAVIE COUNTY HEALTH DEPARTMENT IMPROVEMENT AND OPERATION PERMITS PROPERTY INFORMATION Pet'�fii ,. ` T1ame `� r7 11_t oz? - Subdivision Name: Directions io property: _/`!'"" r d Section *"' ' Lot: - IMPROVEMENT PERMIT/ f_ I'>; Tax Office PIN: # %ry - 3 . ; _ _.. Road Name: i "'«,{ F� 14�zip i **NOTE** This Improvement Permit DOES NOT authorize the construction or installation of a septic tank system or any wastewater system. An AUTHORIZATION FOR WASTEWATER SYSTEM CONSTRUCTION must be obtained from this Department prior to the construction/installation of a system or the issuance of a building permit. (In compliance with Article 11 of G.S. Chapter 130A, Wastewater Systems, Section .1900 Sewage Treatment and Disposal Systems) ***NOTICE*** THLS PERMIT IS SUBJECT TO REVOCATION IF SITE PLANS OR THE INTENDED USE CHANGE. YOUR WASTEWATER ENVIRONMENTAL HEALTH SPECIALIST DATE ISSUED SYSTEM CONTRACTOR MUST SEE THIS PERMIT BEFORE INSTALLING THE SYSTEM. RESIDENTIAL SPECIFICATION: BUILDING TYPE/j_Z_/ # BEDROOMS _ # BATHS �Q # OCCUPANTS :? GARBAGE DISPOSAL: Yes or No COMMERCIAL SPECIFICATION: FACILITY TYPE - # PEOPLE # PEOPLE/SHIFT # SEATS INDUSTRIAL WASTE: Yes or No LOT SIZE{ TYPE WATER SUPPLY �D DESIGN WASTEWATER FLOW (GPD) NEW SITE -V REPAIR SITE SYSTEM SPECIFICATIONS: TANK SIZE ZZILGAL. PUMP TANK GAL. TRENCH WIDTH ..f1 ROCK DEPTH f� LINEAR FT.e i) OTHER REQUIRED SITE MODIFICATIONS/CONDITIONS: "CONTACT A REPRESENTATIVE OF THE DAVIE COUNTY HEALTH DEPARTMENT FOR FINAL INSPECTION OF THIS SYSTEM BETWEEN 8:30 - 9:30 A.M. OR 1:00 - 1:30 P.M. ON THE DAY OF INSTALLATION. TELEPHONE # IS (704) 634-8760. OPERATION PERMIT SYSTEM INSTALLED BY: s AUTHORIZATION NO. 1 OPERATION PERMIT BY: /6W DATE: "THE ISSUANCE OF THIS OPERATION PERMIT SHALL INDICATE THAT THE SYSTEM DESCRIBED ABOVE HAS BEEN INSTALLED IN COMPLIANCE WITH ARTICLE 11 OF G.S. CHAPTER 130A, SECTION .1900 "SEWAGE TREATMENT AND DISPOSAL SYSTEMS", BUT SHALL IN NO WAY BE TAKEN AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORILY FOR ANY GIVEN PERIOD OF TIME. DCHD 05/96 (Revised) - APPEICATION FOR SITE EVALUATIONAMIPROVEMENT Davie County Health Department Environmental Health Section P.O. Box 848 Mocksville, NC 27028 (704) 634-8760 ****IMPORTANT**** THIS APPLICATION CANNOT BE PROCESSED UNLESS ALL THE REQUIRED INFORMATION IS PROVIDED. 1. Name to be Billed °.,�.�, Contact Person�e�,M,e. n Mailing Address / S"- 21 ���.wc�, �Qo a-� Home Phone City/State/Zip !Z =cam n u i!L Al.if . XBusiness Phone 2. Name on Permit/ATC if Different than Above Mailing Address /� City/State/Zip / 7 Z 3. Application For:ite Evaluation[ ] Improvement Permit & ATC [ ] Both 4. System to Serve: [ ] House [ Mobile Home [ ] Business [ ] Industry [ ] Other 5. If Re ' ence: # People_ # Bedrooms # Bathrooms2-- [ ishwasher [ ]Garbage Disposal [ "Washing Machine [ ] Basement/Plumbing [ ] Basement/No Plumbing 6. If Business/Other: Specify type # People #Sinks # Commodes # Showers # Urinals # Water Coolers If Foodservice: # Seats Estimated Water Usage (gallons per day) 7. Type of water supply: M-61"ounty/City [ ] Well [ ] Community 8. Do you anticipate additions or expansions of the facility this system is intended to serve? [ ] Yes A-IqO If yes, what type? P EITHER A PLAT OR SITE PLAN PROPERTY INFORMATION REQUIRED: *** IMPORTANT **4M OF THE PROPERTY MUST BE SUBMITTED WITH THIS APPLICATION. Property Dimensions: c c X -2 90 WRITE DIRECTIONS (from Mocksville) TO PROPERTY: Tax Office PIN: # 5-� 1 `� - - 6 4J 2 h :o �/ . S� �a� .�s� - A Property Address: Road N�ame_5A,,46 XT�� City/zip M o- hZ4::a� /U •� ,� �e Z .tom � �` 2t�c� r, �qT If in Subdivision provide information, as follows: e�-,70L_%n;tA, Name:Q Section: Lot #• ; This is to certify that the information provided is correct to the best of my knowledge. I understand that any permit(s) issued hereafter are subject to suspension or revocation, if the site plans or intended use change, or if the information submitted in this application is falsified or changed. I, also, understand that I am responsible for all charges incurred from this application. I, hereby, give consent to the Authorized Representative of the Davie County Health Department to enter upon above described property located in Davie County and owned r by to conduct all testing procedures as necessary to determine the site suitability. DATE SIGNATURE Revised DCHD (06-96) THIS AREA XtAJ 13E USED FOR DRAWINC7 YOUR SITE PLAN: 1836 ' .'i'r 'J4i.. In 1SI �ih •. ,.. ,Kk"S K. ti V The Davie County Tax Administrator's Office assumes no liability for any f8.64A1 information contained on this map. Public information sources should be 0442 consulted for verification of information. 3389 le4,a 4 March 18,1998 4:15 PM i 1 Parcel Identification Number y 2j�'e 5719-18-0442 ` DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section SECTION LOT Soil/Site Evaluation APPLICANT'S NAME "?RA 4, -- PROPOSED FACILITY SUBDIVISION Water Supply: On -Site Well Community. Evaluation By: Auger Boring Pit DATEEVALUATED T. PROPERTY SIZE ROAD NAME A-2 4WO-4- Public /I/ Cut FACTORS 1 2 3 4 5 6 7 Landscape position A. - Slope % HORIZON I DEPTH Texture group Consistence Structure Mineralogy HORIZON II DEPTH G r Texture group' Consistence r- r Structure Mineralogy• [ /,�/ HORIZON III DEPTH Texture group Consistence Structure Mineralogy HORIZON IV DEPTH Texture group Consistence Structure Mineralogy SOIL WETNESS RESTRICTIVE HORIZON SAPROLITE CLASSIFICATION S LONG-TERM ACCEPTANCE RATE r L SITE CLASSIFICATION: LONG-TERM ACCEPTANCE RATE: f REMARKS: DCHD (O1-90) EVALUATION BY: ,//% OTHER(S) PRESENT: LEGEND Landscape Position R - Ridge S, - Shoulder L - Linear slope FS - Foot slope N - Nose slope CC.- Concave slope CV -Convex slope . T - Terrace FP - Flood plain H - Head slope Texture S - Sand LS - Loamy sand SL - Sandy loam L - Loam SI - Silt SICL - Silty clay loam SIL - Silty loam CL - Clay loam SCL - Sandy clay loam SC - Sandy clay SIC - Silty clay C - Clay CONSISTENCE_ Moist VFR - Very friable FR - Friable FI - Firm VFI - Very firm EFI - Extremely firm Wet NS - Non sticky SS - Slightly sticky S - Sticky VS Very Sticky NP - Non plastic SP - Slightly plastic P - Plastic VP - Very plastic Structure SC - Single grain M - Massive CR - Crumb GR - Granular ABK - Angular blocky SBK - Subangular blocky PL - Platy PR - Prismatic Mineralogy 1:1, 2:1, Mixed Notes Horizon depth - In inches Depth of fill - In inches Restrictive horizon - Thickness and inches from land surface Saprolite - S(suitable), U(unsuitable) Soil wetness - Inches from land surface to free water or inches from land surface to soil colors with chroma 2 or less Classification - S(suitable), PS(provisionally suitable), U(unsuitable) LTAR - Long-term acceptance rate - gal/day/ft2 ■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■ ■■M■■■■N■ ■■■■■■■O■ ■■■■■■M■■ ■■■■■■M■■ ■■■■■■■■■ ■■■■■O■■■ ■■■■■■■■■ ■■■■MONO■ ■■■N■■■M■ ■■■■■■M■■ ■M■■■NM■■ ■■■■■N■■■ ■■■■■N■■■ ■■■■■N■■■ ■■■■■■■■■ ■■N■■■■■■ MEMO■■■■■ ■■■■■■■ ■■■N■■■ ■■M■■■■ ■■■■■N■ ■N■■■■■ ■E■■■E■E■ ■■■■MMME■ ■■■■■■M■■■■■■■■■■■ I■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■ ■■■M■■■■■■■■■M■■■■ ■■MM■■■■MMM■■M■■■■ ■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■M■ ■■■■■■■■M■■■■■■■■■ ■■■■■■■■■■■■■■■■■■ aye■■■■■■e■■ee■■■e■ ■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■ ■■■■■■■■ MEMO■■■■ ■■■M■■■■ ■■■■■■■■ ■■M■■■■■ ■■■■■■■■ ■■■■■ ■■■■■ MEMO■ ■ ■ nV �h', U N� 15 Printed:Jul 21, 2015 All data is provided as is without warranty or guarantee of any kind either expressed or Implied including but not limited to the implied warranties of merchantability or fitness for a particular use. All users of Davie County's GIS website shall hold harmless the County of Davie, North Carolina, its agents, consultants, contractors or employees from any and all claims or causes of action due to or arising out of the use or Inability to use the GIS data provided by this website.